Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.31 / $419.68 / $776.85	Facility		$328.31	$419.68	$776.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.31 / $439.11 / $608.00	Professional		$328.31	$439.11	$608.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.39 / $983.68 / $1,928.78	Facility		$964.39	$983.68	$1,928.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $506.78 / $1,486.39	Professional		$506.78	$506.78	$1,486.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $747.23 / $803.47 / $803.47	Facility		$747.23	$803.47	$803.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $803.47 / $803.47 / $803.47	Professional		$803.47	$803.47	$803.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $551.53	Facility		$551.53	$551.53	$551.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $402.62 / $551.53	Professional		$402.62	$402.62	$551.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $964.39 / $2,169.88	Facility		$319.00	$964.39	$2,169.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $557.70 / $713.65 / $1,735.90	Professional		$557.70	$713.65	$1,735.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.13 / $697.13 / $697.13	Facility		$697.13	$697.13	$697.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $616.04 / $803.47	Professional		$579.79	$616.04	$803.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $964.39	Facility		$551.53	$551.53	$964.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $551.53 / $1,431.56	Professional		$402.62	$551.53	$1,431.56
United Facility/Professional Professional Modifier Low / Median / High Price $320.75 / $499.06 / $882.65	Professional		$320.75	$499.06	$882.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $515.50 / $579.79 / $579.79	Facility		$515.50	$579.79	$579.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $579.79 / $579.79 / $697.13	Professional		$579.79	$579.79	$697.13